Please click on the link below to fill out the form or download here. Thank you!

APPLICATION FOR TITLE INSURANCE BUY/SELL TRANSACTION

Previous HBW Order #

Type of Transaction

Cash Sale with Mortgage Contract Purchase Contract Payoff

Sales Price*

Seller / Owner's Name*

Seller's Full Address

Seller's Phone Number

Seller's Email Address*

Buyer / Borrower's Name*

Buyer / Borrower's Full Address

Buyer / Borrower's Email Address

Property Street Address, Pin # or Legal Description*

Property County (if known)

Will the closing be conducted by HBW Title Company?

Yes No

Mortgage Amount (if applicable)

Lender Company Name

Loan Officer

Lender Phone Number

Loan Officer's Email Address

Lender's Full Address

Chain of Title Required

12 Month 24 Month Other None

If you chose other on the previous question, please explain.

Applicant's Name*

Applicant's Company Name*

Applicant's Full Address*

Applicant's Phone Number^

Applicant's Email*

Seller's Attorney Firm Name

Seller's Attorney's Name

Seller's Attorney's Phone Number

Seller's Attorney's Email Address

Seller's Attorney's Full Mailing Address

Listing Realtor's Name

Listing Realtor's Email Address

Listing Realtor's Full Mailing Address

Selling Realtor's Name

Selling Realtor's Email Address

Selling Realtor's Full Mailing Address

Additional Notes

Additional Email

File Upload

Please click on the link below to fill out the form or download here. Thank you!

APPLICATION FOR TITLE INSURANCE BUY/SELL TRANSACTION

321 North Bench Street | Galena, IL 61036
p. 815.777.3318 | f. 815.777.1754

For Closing: closings@hbwtitle.com

For Orders: orders@hbwtitle.com

© Copyright 2026 H.B. Wilkinson Title Co. | site designed by design loft, inc.

Please click on the link below to fill out the form or download here. Thank you!

APPLICATION FOR TITLE INSURANCE BUY/SELL TRANSACTION

321 North Bench Street | Galena, IL 61036p. 815.777.3318 | f. 815.777.1754For Closing: closings@hbwtitle.comFor Orders: orders@hbwtitle.com

© Copyright 2026 H.B. Wilkinson Title Co. | site designed by design loft, inc.

321 North Bench Street | Galena, IL 61036
p. 815.777.3318 | f. 815.777.1754

For Closing: closings@hbwtitle.com

For Orders: orders@hbwtitle.com